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強力膠吸食引起少見的低血鉀癱瘓症

Glue Sniffing Unfamiliar but Prevalent Etiology of Hypokalemic Paralyses

摘要


我們報告一位吸食強力膠而產生急性低血鉀癱瘓之病患,強力膠普遍用於工業界,主要成份是甲苯,甲苯在肝中代謝成馬尿酸而增加中氫離子的濃度,吸食強力膠最常發生之酸鹼不平衡睼高血氣代謝性酸中毒。病患在診斷確定後,只給與生理食鹽水補充即恢復正常酸鹼狀態與正常電解質。因此正確的病史詢問與簡易酸鹼判讀流程有助於第一線醫師對於類似酸鹼代謝異常病患做一有效的處理。

並列摘要


We report on a patient with the habit of glue sniffing who presented with hypokalemic paralysis. Glue had been widely used in the world and toluene isa its major composition. Toluene is metabolized in the liver to hippuric acid, which provides the load of hydrogen ion. The most common acid, base and electroclinical problems of the patient were spontaneoulu recovered byfluid hydration with normal saline only. .

並列關鍵字

glue sinffing hypokalemic paralysis

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